CN111449700B - Thoracoscope for thoracic surgery - Google Patents
Thoracoscope for thoracic surgery Download PDFInfo
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- CN111449700B CN111449700B CN202010271642.0A CN202010271642A CN111449700B CN 111449700 B CN111449700 B CN 111449700B CN 202010271642 A CN202010271642 A CN 202010271642A CN 111449700 B CN111449700 B CN 111449700B
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- arc
- clamping plate
- shaped clamping
- shaped
- thoracoscope
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00336—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
Abstract
The invention relates to the technical field of thoracic surgical instruments and discloses a thoracoscope for thoracic surgical operations, which comprises an arc-shaped clamping plate, wherein a regulating device is arranged inside the arc-shaped clamping plate, a circular table groove is formed in the middle of the upper surface of the arc-shaped clamping plate, the regulating device comprises a linkage rod, and the bottom end of the linkage rod sequentially penetrates through the circular table groove and the arc-shaped clamping plate and extends to the position below the arc-shaped clamping plate. This thoracoscope for thoracic surgery operation, through the regulating plate, regulation and control device and the cooperation between the elastic expansion part, after the pjncture needle inserts patient's incision, the restoring force that utilizes the elastic expansion part drives elastic expansion net and props up downwards, make elastic expansion net after the shrink inflation become the endosteal periphery of ellipsoid state and patient's incision to the dress of pasting, the operator has been reduced when carrying out thoracoscope operation, cause thoracoscope support and incision to produce the collision, effectively reduce the operator and cause the phenomenon of damage to patient's incision inside and outside when performing the operation, patient's comfort has improved operation in-process simultaneously.
Description
Technical Field
The invention relates to the technical field of thoracic surgical instruments, in particular to a thoracoscope for thoracic surgical operations.
Background
The thoracoscope is known as one of the major breakthroughs of the thoracic surgery field in the last century, and is a representative operation of minimally invasive thoracic surgery, the thoracoscope surgery uses the modern television camera shooting technology and high-tech surgical instrument equipment, and the novel minimally invasive thoracic surgery technology for completing complicated thoracic operations under a chest wall sleeve or a micro incision, the thoracoscope examination is mainly used for examining and diagnosing the shapes, sizes and parts of pleural, mediastinum and diaphragm pathological changes, including benign or malignant pleural effusion, diffuse lung diseases, pleural tumors, lung tumor invasion and pleural, mediastinum and diaphragm tumors, biopsy can be performed through the thoracoscope, even partial lung resection is performed to obtain pathological specimens, and the thoracoscope also has a certain treatment effect, such as treatment of pneumothorax or drug treatment on the pleural effusion to relieve the illness; it can also be used for thoracic surgery such as wedge resection of lung, bullous resection of lung, mediastinal lump resection, and thoracic sympathetic nerve trunk resection.
The thoracoscope device changes the treatment concept of some thoracic surgical diseases, is considered to be the most important development of thoracic surgical operations at the end of the twentieth century, and is the development direction of future thoracic surgical operations.
Disclosure of Invention
The invention provides a thoracoscope for thoracic surgery, which has the advantages of improving the flexibility of an operator for adjusting instruments through a regulating device and the accuracy of the operator for operating parts of a patient, reducing the phenomenon that the operator damages the inside and the outside of an incision of the patient during surgery, and simultaneously improving the comfort of the patient during surgery, and solves the problems that the incision of the patient is directly fixed through a fixing ring and an outer side plate when the traditional thoracoscope operating device is used, so that the inner wall of the skin and the mucous membrane of the patient are easily damaged by the fixing ring when the operator treats the thoracic cavity inside the body of the patient, the pain of the patient after anesthesia is increased, and the incision of the patient is easily damaged by people.
In order to achieve the above purpose, the invention provides the following technical scheme to realize: a thoracoscope for thoracic surgery comprises an arc-shaped clamping plate, a regulating device is arranged inside the arc-shaped clamping plate, the middle part of the upper surface of the arc-shaped clamping plate is provided with a circular table groove, the regulating and controlling device comprises a linkage rod, the bottom end of the linkage rod sequentially penetrates through the circular table groove and the arc-shaped clamping plate and extends to the lower part of the arc-shaped clamping plate, the outer surface of the linkage rod is movably sleeved with a sleeve, the outer surface of the sleeve is movably connected with the interior of the arc-shaped clamping plate, the outer surface of the linkage rod is fixedly connected with a transverse plate at the bottom side of the sleeve, the top of the transverse plate is fixedly connected with an elastic expansion net, the top end of the elastic expansion net penetrates through the arc-shaped clamping plate and is fixedly connected with the bottom end of the sleeve, the top end of the linkage rod is fixedly connected with a fixed block, the top fixedly connected with of fixed block is fixed the handle, the bottom fixedly connected with pjncture needle of trace.
Optionally, the groove shape of the circular truncated cone groove is an inverted circular truncated cone shape perpendicular to the middle of the arc-shaped clamping plate, and an included angle formed between the side surface of the inner cavity of the circular truncated cone groove and the bottom of the inner cavity of the circular truncated cone groove is one hundred fifty degrees.
Optionally, the elastic expansion net is located below the circular table groove, when the elastic expansion net is in an expansion state, the height of the elastic expansion net is the distance between the transverse plate and the middle of the lower surface of the arc-shaped clamping plate, and when the elastic expansion net is in a compression state, the height of the elastic expansion net is two thirds of the distance between the transverse plate and the middle of the lower surface of the arc-shaped clamping plate.
Optionally, an adjusting plate is movably sleeved on the outer surface of the linkage rod, the bottom of the adjusting plate is fixedly connected with the top of the sleeve, and the bottom of the adjusting plate is fixedly connected with the bottom of the circular truncated cone groove inner cavity through an elastic telescopic part.
Optionally, the right side of the arc-shaped clamping plate is fixedly connected with an arc-shaped pipe, the inner part of the arc-shaped pipe is sleeved with an arc-shaped rod through a fastening bolt thread, the outer surface of the arc rod is movably connected with the inner part of the arc tube, the top end of the arc rod penetrates through the arc tube and extends to the left side of the arc tube, the top end of the arc-shaped rod is fixedly connected with the front surface of the fixed block, the arc center angles of the arc-shaped rod and the arc-shaped pipe are coincided with the central point of the surface of the arc-shaped clamping plate, the bottom of the front surface of the fixed block is fixedly connected with an annular sleeve through a fixed rod, the bottom of the inner cavity of the annular sleeve is movably connected with the top of the elastic expansion net, the top of the inner cavity of the annular sleeve is movably connected with the bottom of the sleeve, the outer surface of the fixed rod is movably connected with the adjusting plate and the inner part of the arc-shaped clamping plate, and the cross section of the annular sleeve is equal to the cross section area of the notch at the bottom of the circular truncated cone groove.
The invention provides a thoracoscope for thoracic surgery, which has the following beneficial effects:
1. this thoracoscope is used in thoracic surgery operation, through the regulating plate, regulation and control device and the cooperation between the elastic expansion part, after the pjncture needle inserts patient's incision, the slow not hard up regulating plate of operator, the restoring force that utilizes the elastic expansion part drives elastic expansion net and props up downwards, make elastic expansion net after the shrink inflation become the ellipsoid state and to the clothes of pasting around the endothelial of patient's incision, reduced the operator when carrying out thoracoscope operation, cause thoracoscope support and incision to produce the collision, effectively reduce the operator and cause the phenomenon of damage to patient's incision inside and outside when carrying out the operation, the comfort of operation in-process patient has been improved simultaneously.
2. This thoracoscope is used in thoracic surgery operation, through the arc pole, cooperation between fastening bolt and the arc pipe, utilize the fastening bolt to fix the overlap ratio of arc pole and arc pipe, the operator of being convenient for is hanging suitable angle and is being treated the inside thorax of patient, fix the position of annular cover through the fixed block simultaneously, when the operator mobilizes the regulation and control device and treats the inside thorax of patient, avoided regulation and control device and patient's incision to rub, also prevent effectively simultaneously that the incision from hindering the position of regulation and control device regulation and control, the flexibility of operator through regulation and control device adjusting instrument and the accuracy of operator to patient part operation have been improved.
Drawings
FIG. 1 is a schematic view of the present invention showing the elastic mesh in a fixed position relative to the incision of a patient;
FIG. 2 is a schematic view of the present invention with the elastic netting separated from the patient's incision;
FIG. 3 is an enlarged schematic view of the structure at A in FIG. 1;
FIG. 4 is an enlarged view of the regulating device of the present invention.
In the figure: 1. an arc-shaped clamping plate; 2. a fixed block; 3. an adjusting plate; 4. an arc tube; 5. a regulating device; 51. a linkage rod; 52. an elastic expansion net; 53. a transverse plate; 54. a sleeve; 6. a circular platform groove; 7. puncturing needle; 8. a fixed handle; 9. an arcuate bar; 10. an elastic expansion member; 11. fastening bolts; 12. an annular sleeve.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-4, a thoracoscope for thoracic surgery comprises an arc-shaped clamping plate 1, wherein a regulating device 5 is arranged inside the arc-shaped clamping plate 1, a circular table groove 6 is formed in the middle of the upper surface of the arc-shaped clamping plate 1, the regulating device 5 comprises a linkage rod 51, the bottom end of the linkage rod 51 sequentially penetrates through the circular table groove 6 and the arc-shaped clamping plate 1 and extends to the lower side of the arc-shaped clamping plate 1, a sleeve 54 is movably sleeved on the outer surface of the linkage rod 51, the outer surface of the sleeve 54 is movably connected with the inside of the arc-shaped clamping plate 1, a transverse plate 53 is fixedly connected to the outer surface of the linkage rod 51 at the bottom side of the sleeve 54, an elastic expansion net 52 is fixedly connected to the top of the transverse plate 53, the top end of the elastic expansion net 52 penetrates through the arc-shaped clamping plate 1 and is fixedly connected to the bottom end of, fixed 8 of the top fixedly connected with of fixed block 2, the bottom fixedly connected with pjncture needle 7 of trace 51 fixes the position of annular cover 12 through fixed block 2 simultaneously, when the operator mobilized regulation and control device 5 and treated the inside thorax of patient, has avoided regulation and control device 5 and patient's incision to rub, also effectively prevents simultaneously that the incision from hindering the position of regulation and control device 5 regulation and control, has improved the flexibility of operator through regulation and control device 5 regulation apparatus and the accuracy of operator to patient part operation.
The groove shape of the circular table groove 6 is an inverted circular table shape perpendicular to the middle of the arc-shaped clamping plate 1, the included angle formed between the side face of the inner cavity of the circular table groove 6 and the bottom of the inner cavity of the circular table groove 6 is one hundred and fifty degrees, the position of the rotary regulating and controlling device 5 is convenient for an operator, and the operator can conveniently suspend a proper angle to treat the thoracic cavity of a patient.
Wherein, elastic expansion net 52 is located the below of round platform groove 6, when elastic expansion net 52 is in the extending state, its height is the distance between horizontal plate 53 to the middle part of arc cardboard 1 lower surface, when elastic expansion net 52 is in the compression state, its height is two-thirds of distance between horizontal plate 53 to the middle part of arc cardboard 1 lower surface, when guaranteeing elastic expansion net 52 is in the compression inflation state, the top of the ellipsoid that its inflation formed is laminated with patient's notched inside mutually, avoids causing secondary wear to the wound.
Wherein, regulating plate 3 has been cup jointed in the surface activity of trace 51, the bottom of regulating plate 3 and the top fixed connection of sleeve pipe 54, the bottom of regulating plate 3 is through the bottom fixed connection of elastic expansion part 10 with the 6 inner chambers of round platform groove, after pjncture needle 7 inserted patient's incision, the slow not hard up regulating plate 3 of operator, utilize elastic expansion part 10's restoring force to drive elastic expansion net 52 and prop up downwards, make elastic expansion net 52 after the shrink inflation become the ellipsoid state and to pasting clothes around the endothelial with patient's incision, when having reduced the operator and carrying out thoracic surgery operation, cause thoracoscope support and incision to collide, effectively reduce the operator and cause the phenomenon of damage to patient's incision inside and outside when carrying out the operation, improved operation in-process patient's comfort simultaneously.
Wherein, the right side of the arc-shaped clamping plate 1 is fixedly connected with an arc-shaped pipe 4, the inner part of the arc-shaped pipe 4 is sleeved with an arc-shaped rod 9 through a fastening bolt 11, the outer surface of the arc-shaped rod 9 is movably connected with the inner part of the arc-shaped pipe 4, the top end of the arc-shaped rod 9 penetrates through the arc-shaped pipe 4 and extends to the left side of the arc-shaped pipe 4, the top end of the arc-shaped rod 9 is fixedly connected with the front side of the fixed block 2, the arc center angles of the arc-shaped rod 9 and the arc-shaped pipe 4 are coincided with the central point of the surface of the arc-shaped clamping plate 1, the front bottom of the fixed block 2 is fixedly connected with an annular sleeve 12 through a fixed rod, the bottom of the inner cavity of the annular sleeve 12 is movably connected with the top of the elastic expansion net 52, the top of the inner cavity of the annular sleeve 12 is movably connected with the bottom of the, through the cooperation between curved bar 9, fastening bolt 11 and the curved tube 4, utilize fastening bolt 11 to fix the overlap ratio of curved bar 9 and curved tube 4, the operator of being convenient for hangs suitable angle and treats patient's inside thorax.
The working steps comprise that firstly, an operator selects a position suitable for an incision, then the skin is cut by 1.5-2cm, the operator fixes the arc-shaped clamping plate 1 at the periphery of the incision of a patient, the incision of the circular truncated cone groove 6 is aligned with the incision of the patient, then the operator pulls the adjusting plate 3 to enable the elastic expansion net 52 to be in a contraction state, the width of the elastic expansion net 52 is kept smaller than the cross section area of the annular sleeve 12, then the puncture needle 7 is slowly loosened to the inside of the patient until the distance between the bottom of the elastic expansion net 52 is two thirds of the distance between the transverse plate 53 and the bottom of the inner cavity of the circular truncated cone groove 6, then the adjusting plate 3 is slowly loosened until the elastic expansion net 52 is in a contraction and expansion state, namely the elastic expansion net 52 is in an ellipsoid state, at the moment, the elastic expansion net 52 and the arc-shaped clamping plate 1 fix, at this time, the operator uses the movable connection between the linkage rod 51 and the annular sleeve 12 to avoid the linkage rod 51 from directly contacting with the incision, thereby reducing the abrasion to the incision of the patient.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (5)
1. The utility model provides a thoracoscope for thoracic surgery, includes arc cardboard (1), its characterized in that: the adjustable arc-shaped clamping plate is characterized in that an adjusting device (5) is arranged inside the arc-shaped clamping plate (1), a circular table groove (6) is formed in the middle of the upper surface of the arc-shaped clamping plate (1), the adjusting device (5) comprises a linkage rod (51), the bottom end of the linkage rod (51) sequentially penetrates through the circular table groove (6) and the arc-shaped clamping plate (1) and extends to the lower portion of the arc-shaped clamping plate (1), a sleeve (54) is movably sleeved on the outer surface of the linkage rod (51), the outer surface of the sleeve (54) is movably connected with the inside of the arc-shaped clamping plate (1), a transverse plate (53) is fixedly connected to the bottom side of the sleeve (54) on the outer surface of the linkage rod (51), an elastic telescopic net (52) is fixedly connected to the top of the transverse plate (53), the top end of the elastic telescopic net (52) penetrates through the arc-shaped clamping plate (1) and is fixedly connected with the bottom end of, the top of the fixed block (2) is fixedly connected with a fixed handle (8), and the bottom end of the linkage rod (51) is fixedly connected with a puncture needle (7).
2. The thoracoscope for thoracic surgery of claim 1, wherein: the groove shape of the circular table groove (6) is an inverted circular table shape perpendicular to the middle of the arc-shaped clamping plate (1), and the included angle formed between the side surface of the inner cavity of the circular table groove (6) and the bottom of the inner cavity of the circular table groove (6) is one hundred fifty degrees.
3. The thoracoscope for thoracic surgery of claim 1, wherein: the elastic expansion net (52) is located below the circular table groove (6), when the elastic expansion net (52) is in an extension state, the height of the elastic expansion net is the distance between the transverse plate (53) and the middle of the lower surface of the arc-shaped clamping plate (1), and when the elastic expansion net (52) is in a compression state, the height of the elastic expansion net is two thirds of the distance between the transverse plate (53) and the middle of the lower surface of the arc-shaped clamping plate (1).
4. The thoracoscope for thoracic surgery of claim 1, wherein: adjusting plate (3) has been cup jointed in the surface activity of trace (51), the bottom of adjusting plate (3) and the top fixed connection of sleeve pipe (54), the bottom of adjusting plate (3) is through elastic telescopic part (10) and the bottom fixed connection of round platform groove (6) inner chamber.
5. The thoracoscope for thoracic surgery of claim 1, wherein: the right side of the arc-shaped clamping plate (1) is fixedly connected with an arc-shaped pipe (4), the inner part of the arc-shaped pipe (4) is sleeved with an arc-shaped rod (9) through a fastening bolt (11) in a threaded manner, the outer surface of the arc-shaped rod (9) is movably connected with the inner part of the arc-shaped pipe (4), the top end of the arc-shaped rod (9) penetrates through the arc-shaped pipe (4) and extends to the left side of the arc-shaped pipe (4), the top end of the arc-shaped rod (9) is fixedly connected with the front side of the fixed block (2), the arc center angles of the arc-shaped rod (9) and the arc-shaped pipe (4) are superposed with the central point of the surface of the arc-shaped clamping plate (1), the front bottom of the fixed block (2) is fixedly connected with an annular sleeve (12) through a fixing rod, the bottom of the inner cavity of the annular sleeve (12) is movably connected with the, the outer surface of the fixed rod is movably connected with the adjusting plate (3) and the inner part of the arc-shaped clamping plate (1), and the cross section of the annular sleeve (12) is equal to the cross section of the notch at the bottom of the circular table groove (6).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010271642.0A CN111449700B (en) | 2020-04-09 | 2020-04-09 | Thoracoscope for thoracic surgery |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010271642.0A CN111449700B (en) | 2020-04-09 | 2020-04-09 | Thoracoscope for thoracic surgery |
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| CN111449700A CN111449700A (en) | 2020-07-28 |
| CN111449700B true CN111449700B (en) | 2021-02-09 |
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| CN202010271642.0A Active CN111449700B (en) | 2020-04-09 | 2020-04-09 | Thoracoscope for thoracic surgery |
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Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN116058951B (en) * | 2023-04-06 | 2023-06-06 | 中国人民解放军总医院第三医学中心 | Thoracic surgery auxiliary device |
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| US20120088968A1 (en) * | 2010-10-11 | 2012-04-12 | Epic Medical Inc. | Methods and devices for visualization and access |
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| JP2010240436A (en) * | 2009-04-08 | 2010-10-28 | Ethicon Endo Surgery Inc | Retractor with flexible sleeve |
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